BRYAN M BUKSAR Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014479

License Status

NOT RENEWED

Business

First Name

BRYAN

Middle

Last Name

BUKSAR

Business Name

BRYAN M BUKSAR

Original Issue Date

06/23/2005

Effective Date

10/01/2006

Expiration Date

09/30/2008

City

HIGHLAND

State

Zip

46322

County

INDIANA

Ever Disciplined

LastModifiedDate

11/06/2008